FORM 1023-EZ for SALT LAKE RETRO INC

Field Data
EIN 82-4716914
Case Number EO-2019087-000361
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SALT LAKE RETRO INC
Organization’s Mailing Address 3257 S HUNTER OAK WAY
City WEST VALLEY CITY
State UT
ZIP 84128
Accounting period End 12
Primary contact name MARCILINA GRAYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARCILINA GRAYER
DIRECTOR
3257 S HUNTER OAK WAY
WEST VALLEY CITY UT 84128

Officer/Director/Trustee Two

KEHANA GRAYER
SECRETARY
3257 S HUNTER OAK WAY
WEST VALLEY CITY UT 84128

Officer/Director/Trustee Three

JOBE GRAYER
DIRECTOR
3257 S HUNTER OAK WAY
WEST VALLEY CITY UT 84128

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/18
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARCILINA GRAYER
Signature Title DIRECTOR
Signature Date 3/26/19

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